학술논문

Nerve high-resolution ultrasonography in tangier disease.
Document Type
Journal Article
Source
Muscle & Nerve. May2019, Vol. 59 Issue 5, p587-590. 4p.
Subject
*BRACHIAL plexus
*MEDIAN nerve
*PERIPHERAL nervous system
*NEURAL conduction
*PERONEAL nerve
*SPINAL nerves
*ULNAR nerve
*ULTRASONIC imaging
Language
ISSN
0148-639X
Abstract
Introduction: Tangier disease (TD) is an autosomal recessive disorder characterized by severe reduction in high-density lipoprotein and accumulation of cholesterol esters in peripheral nerves and other tissues. The aim of this study was to evaluate whether nerve high-resolution ultrasonography (HRUS) can detect morphological nerve changes in TD.Methods: Three related patients of a previously reported Italian family with Tangier disease, carrying the Y1698X mutation in ABCA1, underwent clinical, neurophysiological, and quantitative nerve HRUS evaluation. Nerve HRUS data were compared with normal controls.Results: Despite neurophysiological abnormalities, no quantitative HRUS abnormality was detected in peripheral nerves.Discussion: Normalcy of HRUS in neurophysiologically abnormal nerves suggests possible subtle abnormalities that escape quantitative HRUS detection. Systematic studies in larger TD cohorts with different mutations are needed to confirm our findings. Muscle Nerve 59:587-587, 2019. [ABSTRACT FROM AUTHOR]